PALMER FAMILY MEDICINE INC NPI 1356368054

NPI Information

  • NPI: 1356368054
  • Provider Name: PALMER FAMILY MEDICINE INC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 02D1056529
  • Address: 634 S BAILEY ST
    SUITE 104
    PALMER, AK
    ZIP 99645
  • Phone: (907) 746-2345

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NPI Details

PALMER FAMILY MEDICINE INC is a family medicine in Palmer, AK. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PALMER FAMILY MEDICINE INC NPI is 1356368054. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

634 S BAILEY ST
SUITE 104
PALMER, AK
ZIP 99645-330
Phone: (907) 746-2345

The provider's authorized official is Jason Ward Brooks .
The authorized official title is Physician and has the following contact phone number (907) 746-0470.

The CLIA number assigned to this NPI record is 02D1056529 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/17/2006 and was last updated on 2/7/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine4291ALASKAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1K160763MEDICARE PINALASKA
21020812MEDICAIDALASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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